Organization
GEORGETOWN PEDIATRICS, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HORACE P. HAMBRICK M.D. (PRESIDENT)
(502) 863-6426
Entity
Organization
Contact information
Practice address
1162 LEXINGTON RD, GEORGETOWN, KY 40324-9330
(502) 863-6426
(502) 868-9724
Mailing address
1162 LEXINGTON RD, GEORGETOWN, KY 40324-9330
(502) 863-6426
(502) 868-9724
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
208000000X
Pediatrics Physician
Primary
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100177200
—
KY
05
—
7100552220
—
KY
Enumeration date
02/16/2007
Last updated
04/12/2023
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